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Research Articles
Tissue adhesive (2-octylcyanoacrylate) versus standard wound closure in patients undergoing breast lump excision
1 General Surgeon, Department of Surgery, University of Abuja Teaching Hospital, Gwagwalada, FCT, Nigeria
2 Consultant Paediatric Surgeon, Department of Surgery, University of Abuja Teaching Hospital, Gwagwalada, FCT, Nigeria
3 Professor of General Surgery, College of Health Sciences, University of Abuja and University of Abuja Teaching Hospital, Gwagwalada, FCT, Nigeria
Address correspondence to:
Umoke Ifeanyi Charles
Department of Surgery, University of Abuja Teaching Hospital Gwagwalada, FCT, Abuja,
Nigeria
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Article ID: 100037S05UC2019
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Umoke IC, Olori S, Garba ES. Tissue adhesive (2-octylcyanoacrylate) versus standard wound closure in patients undergoing breast lump excision. Edorium J Surg 2019;6:100037S05UC2019.ABSTRACT
Aims: Topical 2-octylcyanoacrylate, OCA, is an alternative to traditional devices for closing short surgical incisions. Studies show that the use of OCA for the closure of surgical wounds leads to cosmetic outcome superior to conventional sutures. Only few studies have investigated OCA in breast surgery in our environment. The aim of this study was to compare OCA with vicryl 2.0 in skin wound closure for patients undergoing breast lump excision.
Methods: A prospective randomized controlled study in which 44 patients were randomly allocated to skin closure with vicryl 2.0 or OCA group. Forty-one patients completed the study. The wounds were graded at three months for cosmesis using the Hollander Wound Evaluation Scale, HWES, and the Visual Analogue Scale, VAS, respectively. Wound evaluation scores, ease of wound management, and wound complications were compared for both groups. Results were analyzed using SPSS version 20.0.
Results: There were no differences in the three variables between the two groups. The wound closure time was significantly faster in the OCA group (p<0.001), which also had a significantly shorter duration of time between surgery and taking the first shower (p<0.001), but a higher wound dehiscence rate.
Conclusion: Octylcyanoacrylate offered comparable cosmetic outcome to vicryl 2.0 in the closure of breast wounds following lumpectomy for benign lumps and had a faster wound closure time but a higher wound dehiscence rate.
Keywords: Breast surgery, Tissue adhesives, Wound closure
SUPPORTING INFORMATION
Author Contributions:
Umoke Ifeanyi Charles - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Olori Samson - Substantial contributions to conception and design, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Garba E Stephen - Substantial contributions to conception and design, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Umoke Ifeanyi Charles et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
